Individual
JONATHON BRUNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.D.
Contact information
Practice address
730 VETERANS DR, CARENCRO, LA 70520-3619
(337) 886-2968
Mailing address
730 VETERANS DR, CARENCRO, LA 70520-3619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016613
LA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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